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Congestive heart failure, kidney disease, low blood pressure and low white and red corpuscles count - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: Blood Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1396 Questions
Doctor :   HI,
User :   Hi. I have congestive heart failure, kidney disease, low blood pressure, low white count & hemaglobin count.
Doctor :   Ok, How can i help you here ?
User :   We're trying to research the symptoms, tests are slow at getting done. My doctor is talking about more checks for cancer. Can you think of categories that I fall into with these problems? I also have arthritis.
Doctor :   Ok, but i do not think the above group of illness give any clue into any kind of cancer disease
User :   What about autoimmune diseases or specific types of arthritis?
Doctor :   The low BP is related to the congestive heart failure and the kidney disease , once the exact cause amongst is made and treated the low BP will not be an issue
Doctor :   and the Hemoglobin , WBC are very variable parameters and the cause can be made very easily and treated the same way
User :   I've been taking procrit by injection because my kidneys are bad, now I'm taking it orrally.
Doctor :   yes, Autoimmune disease can be a chance here
User :   what sort of doctor(s) would you think I should start seeing?
Doctor :   yes, Immunologist would be the person who can rule out the autoimmune disease straight away without beating on the issue much
User :   1.8 wbc, kidney function 38%, red blood cell as low as 8.1 (hemaglobin) - just giving you more figures...
User :   With congestive heart failure & your body retaining a lot of fluids does it weaken your heart a lot more?
Doctor :   i would consider the low hemoglobin being secondary to kidney malfunctioning rather than being a part of any syndrome
Doctor :   the problems you have are interconnected , if one gets treated the other gets resolved
Doctor :   hence i would consider beat to first consult a immunologist get autoimmune diseases ruled out
Doctor :   and then a integrated approach by a cardiologist and a nephrologist would give clear insight into your condition
User :   How does procrit affect kidneys & hemaglobin? Can you explain it to me?
Doctor :   yes, Procrit is a analouge ( substitute ) to hormone called ERYTHROPOITIN which is liberated in kidney and is involved in production of the blood from the bone marrow in the bones
Doctor :   when kidneys are affected the erythropoitin levls falls causing anaemia
Doctor :   hence kidney disease is most of times associated with anaemia
User :   what else is there besides procrit to take? Any suggestions there?
Doctor :   Also kidney controls BP via Renin Angiotenisin ( hormone ) mechanism
Doctor :   this explains the BP variation in kidney problems
User :   When your electrolytes are off can it cause a gout problem? And, does this have anything to do with autoimmune disorders too?
Doctor :   good iron supplements will be the second requirement in bringing up the blood production
Doctor :   NO , electrolytes are not related to gout or arthritis
User :   Without procrit the supplements won't bond or whatever & bring up the hemoglobin count.
Doctor :   its the WBC count which can be a culprit in the arthritis
Doctor :   yes, you are right , procrit is a must here other just supplement the purpose
User :   Well, we'll go back to our general internet searching & take your advice about an immunologist. thank you.
Doctor :   Excess WBCs and there death more nucleic acid ( DNA) metabolised into metabolite called Uric acid, which forms crystals and accumulates in joint spaces and hence arthritis
Doctor :   You are welcome
User :   Good bye.
Doctor :   Bye
Doctor :   take care
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